title: Spontaneous-idiopathic left anterior descending artery dissection: is watchful waiting better than immediate stenting?
abstract: Spontaneous coronary artery dissection (SCAD) is a rare, complex disease, nowadays poorly understood yet. The lack of firm recommendations about this issue is a great limitation which makes any therapeutic decision controversial. The case described is that of a young, otherwise healthy woman, who presented with an ostial dissection of the left anterior descending (LAD) artery. Due to patient's stable clinical and hemodynamic parameters, we used a cautious approach based on watchful waiting and medical therapy, postponing stenting in order to achieve a partial vessel reopening with a more comfortable access to PCI.
authors.affiliation: Interventional Cardiology Unit, S. Maria University Hospital, Via Tristano Di Joannuccio 1, 05100 Terni, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Arrivi
authors.forename: M
authors.initials: M
authors.lastname: Bazzucchi
authors.forename: M
authors.initials: M
authors.lastname: De Paolis
authors.forename: A
authors.initials: A
authors.lastname: Placanica
authors.forename: C
authors.initials: C
authors.lastname: Bock
authors.forename: C
authors.initials: C
authors.lastname: Milici
authors.forename: E
authors.initials: E
authors.lastname: Boschetti
authors.forename: M
authors.initials: M
authors.lastname: Dominici